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Applicant <br />N9 668 <br />Little Canada, Minnesota PAID ira ‘—Ry <br />APPLICATION FORM Rec. No0s� <br />Comprehensive Plan Amendment -N--‹*- Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />tea, g e-A, <br />(Name) <br />IC -5 <br />(Address) <br />(Phone) <br />5Gvw -L <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />< P P ILA <br />a. 7 / q <br />- o(2a-/ JUL 26 1994 <br />CITY OF LITTLE CANADA <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />/'lee A L , Ex; $1- Z )04 \Q <br />(t■» fJ L.•C'$ <br />C <br />CANN-- <br />Le. o' ZS .� tb <br />b o n-_.. I kvts I <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statement received from the City pertaining to additional applica- <br />tion expense. <br />(Signature Pof ppl�nt) (Date) <br />WHITE - Office CANARY- Customer PINK -File GOLD- Planner <br />